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Full Version: How do doctors tell physical from psychological ED and choose initial treatment?
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I'm in my late forties and have started experiencing erectile dysfunction over the past several months, which is causing significant stress in my relationship and affecting my confidence. I've scheduled an appointment with my doctor to discuss potential erectile dysfunction treatments, but I'm feeling embarrassed and unsure about what to expect from the consultation. For others who have taken this step, what was the process like for determining if the cause was primarily physical or psychological, and how did you and your doctor decide on a first-line treatment option? I'm curious about the real-world effectiveness and side effects of oral medications versus other approaches, especially for someone who also takes medication for mild hypertension.